SWA    Membership Form and change of address

Name:____________________________________

Address:__________________________________

City:_______________ ST________ Zip+4:______

Phone: Home (____)_________________________

            Work (____)_________________________

EMail:____________________________________

Is this a change of address?  Yes     No

Are you interested in being an officer?  Yes     No

Interested in serving on a committee?  Yes     No

Individual Member dues, due Jan. 1    $40 (Family $45)

Senior (65+) dues, due Jan. 1               $30 (Family $35)

Make checks payable to SWA and mail to:

                            Tina Greenlee
                            6951 Pinon St.
                            Fort Worth,  TX 76116-9025